var gaJsHost = (("https:" == document.location.protocol) ? "https://ssl." : "http://www."); document.write(unescape("%3Cscript src='" + gaJsHost + "google-analytics.com/ga.js' type='text/javascript'%3E%3C/script%3E"));
MaxxLan Live Support
MaxxLan BV
Den Sliem 89
7141 JG Groenlo
P: +31 (0)544 470006
F: +31 (0)544 470001
E: info@maxxlan.net

Online RMA aanvraag

Date :
Company name :
Email address :
Klant nummer :
Adres :
City :
Contact person :
Phone number :
Fax number :

All article fields are required !!!

Article 1 Invoice number Article description
Serial number Reason of return
repair within warranty  Dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description
Article 2 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description
Article 3 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Klachtomschrijving
Article 4 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description
Article 5 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description
Article 6 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description
Article 7 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty    wrong delivery (WDR)
Problem description
Article 8 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description
Article 9 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description
Article 10 Invoice number Article description
Serial number Reason of return
repair within warranty  dead on arrival (DOA)
repair out of warranty   wrong delivery (WDR)
Problem description


ServiceOnline RMA aanvraag
Copyright © 2012 MaxxLan, All rights reserverd.    |    Disclaimer    |    Contact